Jay M. Fuller, PT

NPI #1912167040 in La Palma, California

Provider Information

NPI Number
1912167040
Entity Type
Individual
Name
Jay M. Fuller, PT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Preventive Medicine - Occupational Medicine
Credential
PT
Enumeration Date
Jun 12, 2008
Last Updated
Jun 12, 2008

Practice Location

Address
26 CENTERPOINTE DR
Address 2
SUITE 115
ZIP Code
90623-1072
Phone
(714) 522-8020

Specialties & Taxonomy Codes

Specialty
Preventive Medicine - Occupational MedicineOccupational Medicine

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